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HomeMy WebLinkAboutPermit Building 2000-3-3 . . Job# 00-00265-011 Page 1 of2 TRANS#:01-0000825 DATE:MAR 03 2000 AMT RECD:2 $ 295.35 CHANGE: CASHIER:059 >~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00265-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 444 Mansfield St Spr Assessors Map#: 17032334 Lot: Block: Addition: Tax Lot #: 05800 Subdivision: Owner: Address: Ken Cerotsky PO BOX 1391 Phone Number: City/StatelZip: Springfield, OR 97471 New Value: $60.000 Scope Of Work: Single Family Residence INTERIOR REMODEL Contractor Type General Contr Plumbing Contr Contractor Barry Wolfe 1330 Brickley Rd, Eugene, OR 97401 Arps Plumbing Co Inc 1120 Bailey Hill Rd Ste 8, Eugene, OR 97402-3070 Registration # Expiration Date Phone 38123 1/24/2000 541-484-7246 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Commentsinterior remodel only Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? 0 3: Planner: AI Ward Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Additional Requirements: Glenwood Area? 0 Required Attachments: Source Loco.: Material: Flood Plain FEMA: n/a . . I Job# 00-00265-011 Page 2 of2 Construction Types: . ...0ccupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Value/Quantity I Plan Check I 02/14/2000 586 60,000 03/03/2000 825 -163 Fee Amount Residential Plan Check Additional Plan Check Total Plan Check $203.45 $.163.45 $40.00 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 03/03/2000 825 03/03/2000 825 03/03/2000 825 60,000 $313.00 $21.91 $9.39 $344.30 Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Plumbing 03/03/2000 825 03/03/2000 825 03/03/2000 825 03/03/2000 825 8 $.00 $80.00 $5.60 $2.40 $88.00 Minimum Mechanical Permit Mechanical Administrative Fee ApplianceVent (Not Covered in Schedul Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 03/03/2000 825 03/03/2000 825 03/03/2000 825 03/03/2000 825 03/03/2000 825 3 $1.50 $.45 $13.50 $10.00 $1.05 $26.50 $498.80 Grand Total Plan Check Type Initial Review-Res Engineering-Res Structural-Res By signature, I state and agree. that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors an mployees who are in compliance with ORS 701.055 will be used on this project I further agree to ensure at all re I ctions are requested at the proper time, that each addre!ilSsitadable fro the street that the p mit card is located at the front of the property, and the) appro d2.t Of~ w.1 re ain e at II times during construction. :s (' / u 6 Signat re 9 Date - I Checked By Bob Barnhart Steve Templin Date Completed 02/15/2000 02/18/2000